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January 2018 1st QTR ASC Drug File

Effective 01.01.2018

HCPCS Code Status Indicator Amount
A9515 A $5,700.00
A9587 A $66.74
A9588 A $389.55
C9014 A $95.40
C9015 A $9.96
C9016 A $2,826.67
C9024 A $186.70
C9028 A $2,202.44
C9029 A $102.65
C9132 A $1.86
C9250 A $111.37
C9257 A $1.92
C9293 A $298.28
C9399 C $0.00
C9460 A $15.12
C9482 A $9.99
C9488 A $30.73
C9492 A $73.60
C9493 A $19.19
C9497 A $150.63
J0129 A $48.55
J0135 A $1,176.93
J0178 A $971.95
J0180 A $171.41
J0202 A $1,812.77
J0207 A $974.04
J0220 A $159.63
J0221 A $159.76
J0256 A $4.54
J0257 A $4.68
J0287 A $14.92
J0289 A $20.71
J0300 A $234.02
J0400 A $0.76
J0401 A $5.02
J0470 A $51.23
J0475 A $177.86
J0476 A $42.88
J0480 A $3,546.84
J0485 A $3.91
J0490 A $42.93
J0561 A $12.81
J0565 A $40.18
J0570 A $1,257.11
J0585 A $6.13
J0586 A $8.24
J0587 A $11.99
J0588 A $5.08
J0594 A $31.40
J0596 A $27.98
J0597 A $48.91
J0598 A $57.17
J0600 A $5,588.33
J0606 A $3.47
J0630 A $2,267.02
J0637 A $18.13
J0638 A $108.03
J0641 A $0.31
J0695 A $5.14
J0712 A $2.61
J0714 A $77.08
J0716 A $4,459.02
J0717 A $7.93
J0740 A $465.88
J0775 A $41.83
J0795 A $8.61
J0800 A $3,764.28
J0840 A $3,002.00
J0850 A $1,129.13
J0875 A $14.77
J0878 A $0.50
J0881 A $3.90
J0882 A $3.90
J0883 A $1.50
J0884 A $1.50
J0885 A $12.13
J0888 A $1.63
J0894 A $16.13
J0897 A $17.75
J1110 A $104.77
J1130 A $0.18
J1162 A $3,421.59
J1190 A $223.22
J1212 A $554.57
J1290 A $452.11
J1300 A $228.37
J1322 A $230.92
J1327 A $20.49
J1364 A $72.36
J1410 A $301.72
J1428 A $169.27
J1430 A $444.10
J1438 A $588.57
J1439 A $1.05
J1442 A $1.00
J1447 A $0.61
J1451 A $7.55
J1453 A $2.05
J1455 A $75.17
J1458 A $380.47
J1459 A $38.48
J1460 A $32.96
J1555 A $13.79
J1556 A $70.52
J1557 A $40.03
J1559 A $9.83
J1560 A $329.58
J1561 A $40.70
J1566 A $34.42
J1568 A $35.59
J1569 A $40.72
J1571 A $63.17
J1572 A $33.65
J1573 A $63.17
J1575 A $14.06
J1595 A $211.72
J1602 A $24.28
J1610 A $219.14
J1627 A $4.60
J1640 A $22.36
J1670 A $485.60
J1726 A $27.61
J1740 A $84.89
J1742 A $200.05
J1743 A $542.86
J1744 A $351.82
J1745 A $85.81
J1750 A $13.04
J1786 A $41.70
J1826 A $604.40
J1830 A $379.76
J1833 A $0.69
J1930 A $56.69
J1931 A $30.61
J1942 A $2.43
J1950 A $1,087.45
J2182 A $28.84
J2265 A $1.59
J2278 A $7.44
J2315 A $3.25
J2320 A $72.58
J2323 A $19.42
J2325 A $73.32
J2326 A $1,103.29
J2350 A $57.08
J2353 A $190.68
J2355 A $467.22
J2357 A $34.94
J2407 A $23.24
J2425 A $19.09
J2426 A $10.37
J2469 A $20.30
J2502 A $272.32
J2503 A $721.25
J2504 A $358.99
J2505 A $4,442.31
J2507 A $2,060.48
J2515 A $51.19
J2547 A $1.68
J2562 A $314.44
J2597 A $12.90
J2724 A $15.16
J2760 A $389.08
J2770 A $418.20
J2778 A $386.55
J2783 A $263.51
J2786 A $9.11
J2792 A $25.31
J2793 A $24.09
J2794 A $8.96
J2796 A $68.06
J2820 A $37.79
J2840 A $530.00
J2850 A $34.78
J2860 A $92.73
J2941 A $74.65
J2993 A $2,301.91
J2997 A $84.95
J3060 A $40.38
J3070 A $66.37
J3090 A $1.37
J3095 A $5.38
J3101 A $111.55
J3145 A $1.29
J3240 A $1,602.64
J3243 A $2.82
J3246 A $9.10
J3262 A $4.53
J3285 A $61.24
J3300 A $3.87
J3315 A $415.78
J3357 A $187.12
J3358 A $12.85
J3380 A $18.56
J3385 A $343.93
J3396 A $10.76
J3465 A $2.24
J7175 A $6.84
J7178 A $1.17
J7179 A $2.28
J7180 A $8.22
J7181 A $15.09
J7182 A $1.26
J7183 A $1.03
J7185 A $1.28
J7186 A $0.98
J7187 A $1.10
J7188 A $2.82
J7189 A $1.99
J7190 A $1.08
J7192 A $1.28
J7193 A $1.15
J7194 A $1.41
J7195 A $1.51
J7197 A $3.73
J7198 A $2.00
J7200 A $1.38
J7201 A $3.00
J7202 A $4.16
J7205 A $2.02
J7207 A $1.78
J7209 A $1.63
J7210 A $1.42
J7211 A $1.25
J7308 A $404.59
J7311 A $20,100.17
J7312 A $200.56
J7313 A $490.48
J7316 A $1,046.80
J7320 A $6.42
J7321 A $85.21
J7322 A $19.26
J7323 A $155.23
J7324 A $140.11
J7325 A $12.26
J7326 A $521.57
J7327 A $846.76
J7328 A $2.18
J7336 A $3.16
J7340 A $2.14
J7342 A $29.97
J7345 A $1.40
J7501 A $235.16
J7503 A $1.23
J7504 A $1,942.78
J7505 A $6.80
J7511 A $712.20
J7525 A $187.83
J8501 A $6.68
J8560 A $73.78
J8655 A $398.83
J8670 A $2.26
J8705 A $103.68
J9015 A $3,598.38
J9017 A $71.05
J9019 A $402.74
J9022 A $75.79
J9023 A $79.37
J9025 A $1.58
J9027 A $145.45
J9031 A $132.79
J9032 A $36.11
J9033 A $30.13
J9034 A $23.66
J9035 A $76.66
J9039 A $107.74
J9041 A $46.95
J9042 A $144.96
J9043 A $159.14
J9047 A $33.18
J9050 A $3,852.78
J9055 A $59.22
J9065 A $21.18
J9070 A $42.27
J9098 A $628.90
J9120 A $1,404.01
J9145 A $49.50
J9150 A $43.57
J9155 A $3.64
J9171 A $1.74
J9176 A $6.35
J9179 A $110.57
J9185 A $84.69
J9202 A $375.69
J9203 A $193.16
J9205 A $42.92
J9207 A $73.00
J9211 A $43.40
J9214 A $31.49
J9216 A $6,308.13
J9217 A $211.20
J9218 A $26.63
J9225 A $3,286.03
J9226 A $28,976.68
J9228 A $146.69
J9230 A $292.48
J9245 A $1,193.00
J9261 A $151.91
J9262 A $2.84
J9264 A $11.03
J9266 A $14,342.07
J9268 A $1,977.98
J9271 A $47.87
J9280 A $140.81
J9285 A $49.95
J9293 A $32.04
J9295 A $5.37
J9299 A $26.79
J9301 A $60.64
J9302 A $56.47
J9303 A $111.39
J9305 A $66.31
J9306 A $11.43
J9307 A $257.11
J9308 A $57.03
J9310 A $877.83
J9315 A $329.21
J9320 A $336.70
J9325 A $48.27
J9328 A $9.56
J9330 A $71.69
J9340 A $749.91
J9352 A $290.64
J9354 A $30.21
J9355 A $100.65
J9357 A $1,198.32
J9371 A $2,701.78
J9395 A $96.88
J9400 A $8.10
J9600 A $21,219.57
P9041 A $11.80
P9045 A $54.72
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.93
Q0139 A $0.93
Q2009 A $3.91
Q2017 A $2,463.92
Q2043 A $39,924.06
Q2049 A $508.43
Q2050 A $385.77
Q3027 A $50.17
Q5101 A $0.69
Q5102 A $75.52
Q9968 A $3.92
Q9982 A $3,498.00
Q9983 A $2,968.00
90371 A $116.00
90375 A $302.47
90376 A $332.43
90378 A $1,514.17
90396 A $1,357.03
90675 A $284.98
90676 A $196.54
90740 C $0.00
90743 C $0.00
90744 C $0.00
90746 C $0.00
90747 C $0.00

All CPT codes begin with a numeric character and all HCPCS codes begin with an alpha character.

All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2018 by theĀ American Medical Association.

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